Individual
DR. ERSHAL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5992
Mailing address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5277
KY
1223G0001X
General Practice Dentistry
Primary
5277
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60052776
—
KY
Enumeration date
09/24/2006
Last updated
01/16/2015
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